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South Dakota rates for HCPCS 64872

Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $114.82 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $257.04 / $316.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $190.55 / $309.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $190.55 / $3,019.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $263.03 / $263.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $257.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $194.98 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $204.17 / $316.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $263.03 / $269.15